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LAWRENCE FAMILY MEDICAL PRACTICE, P.C.

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Company Details

Name: LAWRENCE FAMILY MEDICAL PRACTICE, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Apr 1996 (29 years ago)
Entity Number: 2021858
ZIP code: 11559
County: Nassau
Place of Formation: New York
Address: 310 BROADWAY, LAWRENCE, NY, United States, 11559

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
MITCHELL KURK DOS Process Agent 310 BROADWAY, LAWRENCE, NY, United States, 11559

Chief Executive Officer

Name Role Address
MITCHELL KURK Chief Executive Officer 310 BROADWAY, LAWRENCE, NY, United States, 11559

National Provider Identifier

NPI Number:
1124028907

Authorized Person:

Name:
DR. MITCHELL KURK
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5162391363

History

Start date End date Type Value
2024-02-29 2024-02-29 Address 310 BROADWAY, LAWRENCE, NY, 11559, USA (Type of address: Chief Executive Officer)
2000-04-28 2024-02-29 Address 310 BROADWAY, LAWRENCE, NY, 11559, USA (Type of address: Chief Executive Officer)
1996-04-19 2024-02-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
1996-04-19 2024-02-29 Address 310 BROADWAY, LAWRENCE, NY, 11559, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240229002975 2024-02-29 BIENNIAL STATEMENT 2024-02-29
120228000062 2012-02-28 ERRONEOUS ENTRY 2012-02-28
DP-1657506 2003-06-25 DISSOLUTION BY PROCLAMATION 2003-06-25
020409002792 2002-04-09 BIENNIAL STATEMENT 2002-04-01
000428002303 2000-04-28 BIENNIAL STATEMENT 2000-04-01

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$45,600
Date Approved:
2021-03-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$46,016.73
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $45,596
Utilities: $1
Jobs Reported:
4
Initial Approval Amount:
$45,600
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$46,142.13
Servicing Lender:
Citibank, N.A.
Use of Proceeds:
Payroll: $45,600

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Date of last update: 14 Mar 2025

Sources: New York Secretary of State